<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Presentation_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-presentation_id" data-rule="required" data-source="presentation/index" class="form-control selectpage form-control" name="row[presentation_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Outcome_and_additional_relevant_information')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-outcome_and_additional_relevant_information" class="form-control  form-control" rows="5" name="row[outcome_and_additional_relevant_information]" cols="50"></textarea>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Reporters_comments')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-reporters_comments" class="form-control  form-control" rows="5" name="row[reporters_comments]" cols="50"></textarea>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Narrative_case_summary_and_other_information')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-narrative_case_summary_and_other_information" class="form-control  form-control" rows="5" name="row[narrative_case_summary_and_other_information]" cols="50"></textarea>
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
